| Thunderbird Dental Group | |
|
13822 N 35th Dr Ste 1 Phoenix AZ 85053-5542 | |
| (602) 978-2146 | |
| (602) 978-0640 |
| Full Name | Thunderbird Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13822 N 35th Dr, Phoenix, Arizona |
| Authorized Official Name and Position | David W Banks (SECRETARY FOR THE CORPORATION) |
| Authorized Official Contact | 6029556000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thunderbird Dental Group 4730 E Indian School Road Pmb 120 243 Phoenix AZ 85018-5441 Ph: (602) 955-6000 | Thunderbird Dental Group 13822 N 35th Dr Ste 1 Phoenix AZ 85053-5542 Ph: (602) 978-2146 |
| NPI Number | 1649331786 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649331786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Arizona) | Primary |
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